The URL can be used to link to this page

2003, 11-13 Permit App: BLD-03-03054 Plumbing Reversal crrt< `�wrr 11707 East Sprague Avenue,Suite 106 509-688-0036 Phone �'�n� Spokane Valley,WA 99206 509-688-0037-Fax ....'Walley . • Plumbing Permit Application 0 5- IQs, PROJECT PERMIT _ ADDRESS: 6 7 2 3 E AVC. USE: . . OWNER: to A.c c-3-e- ,plil: K PHONE(Daytime Contact): MAILING ADDRESS: (v 7z3 6' 4?-6 lave s Pc i,4 ,,,, (street) (city/state) • (ZIP) CONTRACTOR: `,�!✓ LICENSE#: MAILING ADDRESS: PHONE#: Si°DfQk) lo}), q'2IZ (street) (city/state) (LW). • • PLUMBING FIXTURES DESCRIPTION DETAILS #OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET,BIDETS X $6 - - 2 URINALS X $6 - 3 TUBS X $6 - 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X 5 SINKS LAVSBASINS,BAR,FLOOR,KITCHEN, ' LAUNDRY,UTILITY,JANITOR,PHOTO,X- X • $6 - RAY,FOOD;PREP/CULINARY/MEAT 6 DISHWASHER X $6 - 7 CLOTHES WASHER X $6 - 8 GARBAGE DISPOSAL X $6 - 9 WATER SOFTENER X $6 - _ 10 ELECT.HOT WATER TANK NOTE:IF GAS,SEE MECHANICAL X $6 - 11 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE X $6 - .._ ----- 12 FOUNTAINS,DRINKING `-.. - - - --- . __ -- .-- X _ 13 WATER PIPING/DRAIN-IN INSTALLATION,ALTERATION,REPAIR, • WASTE,VENT,PLUMBING REVERSALS ' X $6 - REVERSAL 14 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6 - 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER,HOSE BIB, STEAMER,PROOFER,CARBONATOR, X $6' SWAMP COOLER 16 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK VALVE,AND • R.P.B.P.D.FOR:VATS,TANKS,BOILERS X - 17 SPRINKLER SYSTEM X $25 18 INTERCEPTORS GREASE TRAP,SAND TRAP,CHEMICAL HOLDING TANK X $6 - 19 MEDICAL GAS per outlet NITROUS,OXYGEN X $6 - 20 MISC.PLUMBING FIXTURE X $6 - SUBTOTAL: ETHOD OF PAYMENT *NM • •,,:fast PLUS PROCESSING FEE: $35.00 • CASH 0 CHECK ❑ ❑ t__. ..1-__:::..t.- - TOTAL PERMIT FEE DUE: ,TE: EXPIRES: NKCARD NUMBER: THORIZED SIGNATURE:.